Individual
DR. DOUGLAS COLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4214 ANDREWS HWY STE 103, MIDLAND, TX 79703-4815
(432) 221-1301
(432) 221-1307
Mailing address
4214 ANDREWS HWY STE 240, MIDLAND, TX 79703-4817
(432) 686-6600
(432) 682-2284
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
223913
MA
207Y00000X
Otolaryngology Physician
Primary
R7968
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007059420
MEDICARE #
RI
05
—
1790767
—
RI
05
—
2102803
—
MA
01
—
679507
TX MEDICARE
TX
Enumeration date
11/20/2005
Last updated
06/15/2023
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